NURS5032: CHAPTER 46 CARDIOVASCULAR ALTERATIONS IN
CHILDREN TEST BANK QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED 2025
Which postoperative intervention should be questioned for a child after a cardiac
catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
b. Check the dressing for bleeding.
c. Assess peripheral circulation on the affected extremity.
d. Keep the affected leg flexed and elevated.
Ans: D
Rationale: The child should be positioned with the affected leg straight for 4 to 6 hours
after the procedure.
Which information should be included in the nurses discharge instructions for a
child who underwent a cardiac catheterization earlier in the day?
a. Pressure dressing is changed daily for the first week.
,b. The child may soak in the tub beginning tomorrow.
c. Contact sports can be resumed in 2 days.
d. The child can return to school on the third day after the procedure.
Ans: D
Rationale: The child can return to school on the third day after the procedure. It is
important to emphasize follow-up with the cardiologist. Strenuous exercise such as
contact sports, swimming, or climbing trees is avoided for up to 1 week after the
procedure. The catheter insertion site is assessed daily for healing. Any bleeding or sign
of infection, such as drainage, must be reported to the cardiologist.
The nurse is admitting a child to the hospital for a cardiac workup. What is the
first step in a cardiac assessment?
a. Percussion
b. Palpation
c. Auscultation
d. History and inspection
, Ans: D
Rationale: The assessment should begin with the least threatening interventions the
history and inspection. Assessment progression includes inspection, auscultation, and
palpation because each step includes more touching.
n which situation is there a risk that a newborn infant will have a congenital heart
defect (CHD)?
a. Trisomy 21 detected on amniocentesis
b. Family history of myocardial infarction
c. Father has type 1 diabetes mellitus
d. Older sibling born with Turner syndrome
Ans: A
Rationale: The incidence of congenital heart disease is approximately 50% in children
with trisomy 21 (Down syndrome).
Before giving a dose of digoxin (Lanoxin), the nurse checked an infants apical
heart rate and it was 114 bpm. What should the nurse do next?
a. Administer the dose as ordered.
CHILDREN TEST BANK QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED 2025
Which postoperative intervention should be questioned for a child after a cardiac
catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
b. Check the dressing for bleeding.
c. Assess peripheral circulation on the affected extremity.
d. Keep the affected leg flexed and elevated.
Ans: D
Rationale: The child should be positioned with the affected leg straight for 4 to 6 hours
after the procedure.
Which information should be included in the nurses discharge instructions for a
child who underwent a cardiac catheterization earlier in the day?
a. Pressure dressing is changed daily for the first week.
,b. The child may soak in the tub beginning tomorrow.
c. Contact sports can be resumed in 2 days.
d. The child can return to school on the third day after the procedure.
Ans: D
Rationale: The child can return to school on the third day after the procedure. It is
important to emphasize follow-up with the cardiologist. Strenuous exercise such as
contact sports, swimming, or climbing trees is avoided for up to 1 week after the
procedure. The catheter insertion site is assessed daily for healing. Any bleeding or sign
of infection, such as drainage, must be reported to the cardiologist.
The nurse is admitting a child to the hospital for a cardiac workup. What is the
first step in a cardiac assessment?
a. Percussion
b. Palpation
c. Auscultation
d. History and inspection
, Ans: D
Rationale: The assessment should begin with the least threatening interventions the
history and inspection. Assessment progression includes inspection, auscultation, and
palpation because each step includes more touching.
n which situation is there a risk that a newborn infant will have a congenital heart
defect (CHD)?
a. Trisomy 21 detected on amniocentesis
b. Family history of myocardial infarction
c. Father has type 1 diabetes mellitus
d. Older sibling born with Turner syndrome
Ans: A
Rationale: The incidence of congenital heart disease is approximately 50% in children
with trisomy 21 (Down syndrome).
Before giving a dose of digoxin (Lanoxin), the nurse checked an infants apical
heart rate and it was 114 bpm. What should the nurse do next?
a. Administer the dose as ordered.
